妇儿健康导刊2024，Vol.3Issue(3)：194-198,封3,6.
妇科恶性肿瘤患者术后下肢深静脉血栓形成的中医证型分布及风险预测
Distribution of traditional Chinese medicine syndrome types and risk prediction of postoperative deep vein thrombosis in patients with gynecologic malignant tumor
赵婧冰 1赖雅薇 1梁菲梅 2李道成 2周英2
作者信息
- 1. 广州中医药大学第一临床医学院,广东广州 510000
- 2. 广州中医药大学第一附属医院妇儿中心三妇科,广东广州 510000
- 折叠
摘要
Abstract
Objective To analyze the distribution of traditional Chinese medicine(TCM)syndrome types and risk prediction of postoperative deep vein thrombosis(DVT)in patients with gynecologic malignant tumor.Methods Clinical data of 279 patients with gynecologic malignant tumor undergoing surgery in the First Affiliated Hospital of Guangzhou University of Chinese Medicine from January 2019 to September 2022 were retrospectively analyzed.All the patients were divided into the thrombus group(40 cases)and the non-thrombus group(239 cases)according to the occurrence of DVT after surgery.The distribution of TCM syndrome types between the two groups and related risk factors of DVT were analyzed.Results The incidence rate of postoperative DVT of gynecologic malignant tumor was 14.34% ,and the highest proportion was qi stagnation and blood stasis syndrome(40.0% )in the thrombus group.The results of multivariate analysis showed that age,without previous history of surgery and the D-dimer(DD)level of postoperative 3 days were the independent risk factors for postoperative DVT of gynecologic malignant tumor(P<0.05).The area under the receiver operating characteristic curve of the combination of three indicators was 0.776(95% CI:0.697-0.855),and Hosmer-lemeshow test showed that the accuracy of the model was good.Conclusion The qi stagnation and blood stasis syndrome is the most common syndrome type of postoperative DVT of gynecologic malignant tumor.The advanced age,without previous history of surgery and high DD level of postoperative 3 days are the independent risk factors of postoperative DVT of gynecologic malignant tumor,and the combination of three indicators has good predictive efficiency.In clinical practice,timely detection of relevant indicators after surgery should be emphasized to prevent postoperative DVT of gynecologic malignant tumor.关键词
下肢深静脉血栓/妇科恶性肿瘤/中医证型/风险预测Key words
Deep vein thrombosis/Gynecologic malignant tumor/Traditional Chinese Medicine syndrome type/Risk prediction分类
医药卫生引用本文复制引用
赵婧冰,赖雅薇,梁菲梅,李道成,周英..妇科恶性肿瘤患者术后下肢深静脉血栓形成的中医证型分布及风险预测[J].妇儿健康导刊,2024,3(3):194-198,封3,6.
